New Patient Forms

Our Neck and Back Centers are currently accepting new patients.

If you have not scheduled an appointment, you may request an appointment 24/7. Call our 24-hour message and scheduling phones.

For an appointment at:
Maysville Family Chiropractic call 606-564-4213 or 800-571-1117
Georgetown Family Chiropractic call 502-868-0097 or 800-869-0714

Or, fill out a simple form to recieve a callback. – Click Here to Contact Us.

To save yourself some time, click below to print forms to fill out and bring with you on your first appointment with the doctor.

Proper paperwork and documentation is a very necessary part of taking care of our patients. We document, first, so that we can take appropriate care of our patients and, second, so we can provide information to third party payors for medical necessity purposes.

Please click on the link below to get the forms needed for your initial visit in our office.

CLICK HERE FOR NEW PATIENT FORMS

CLICK HERE FOR PERSONAL INJURY FORMS

CLICK HERE FOR KY WORKERS COMP FORMS

CLICK HERE FOR OH WORKERS COMP FORMS

If you do not have Acrobat Reader, CLICK HERE FOR ACROBAT READER


Maysville Location

Looking for a family chiropractic office in Maysville, KY? Contact us and find out how we can help!

Why Choose Us?

Are you ready to see a chiropractor? Chiropractic can help many conditions - call and schedule a consultation!

Georgetown Location

Visit our Georgetown location for chiropractic in a family atmosphere. We can't wait to meet you and get you on the road to good health.